Rehabilitative treatment plans after stroke are based on clinical examinations of functional capacity and patient-reported outcomes. Objective information about daily life performance is usually not available, but it may improve therapy personalization. To show that sensor-derived information about daily life performance is clinically valuable for counseling and the planning of rehabilitation programs for individual stroke patients who live at home. Performance information is clinically valuable if it can be used as a decision aid for the therapeutic management or counseling of individual patients. This was an observational, cross-sectional case series including 15 ambulatory stroke patients. Motor performance in daily life was assessed with body-worn inertial sensors attached to the wrists, shanks and trunk that estimated basic physical activity and various measures of walking and arm activity in daily life. Stroke severity, motor function and activity, and degree of independence were quantified clinically by standard assessments and patient-reported outcomes. Motor performance was recorded for an average of 5.03 ± 1.1 h on the same day as the clinical assessment. The clinical value of performance information is explored in a narrative style by considering individual patient performance and capacity information. The patients were aged 59.9 ± 9.8 years (mean ± SD), were 6.5 ± 7.2 years post stroke, and had a National Institutes of Health Stroke Score of 4.0 ± 2.6. Capacity and performance measures showed high variability. There were substantial discrepancies between performance and capacity measures in some patients. This case series shows that information about motor performance in daily life can be valuable for tailoring rehabilitative therapy plans and counseling according to the needs of individual stroke patients. Although the short recording time (average of 5.03 h) limited the scope of the conclusions, this study highlights the usefulness of objective measures of daily life performance for the planning of rehabilitative therapies. Further research is required to investigate whether information about performance in daily life leads to improved rehabilitative therapy results.

中文翻译：

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评估急性卒中后患者运动表现的临床价值

中风后的康复治疗计划基于功能能力的临床检查和患者报告的结果。通常无法获得有关日常生活表现的客观信息，但它可能会改善治疗的个性化。表明传感器衍生的关于日常生活表现的信息对于为居住在家里的个体中风患者提供咨询和康复计划规划具有临床价值。如果性能信息可以用作个体患者的治疗管理或咨询的决策辅助，那么它在临床上是有价值的。这是一个观察性横断面病例系列，包括 15 名非卧床卒中患者。日常生活中的运动表现通过安装在手腕上的身体佩戴的惯性传感器进行评估，估计日常生活中基本身体活动以及步行和手臂活动的各种措施的小腿和躯干。中风严重程度、运动功能和活动以及独立程度通过标准评估和患者报告的结果进行临床量化。在临床评估的同一天，平均记录 5.03 ± 1.1 小时的运动表现。通过考虑个体患者的表现和能力信息，以叙述方式探索表现信息的临床价值。患者年龄为 59.9 ± 9.8 岁（平均值 ± SD），卒中后 6.5 ± 7.2 岁，美国国立卫生研究院卒中评分为 4.0 ± 2.6。容量和性能指标显示出很大的可变性。一些患者的表现和能力测量之间存在很大差异。该案例系列表明，日常生活中的运动表现信息对于根据个体中风患者的需求制定康复治疗计划和咨询非常有价值。尽管较短的记录时间（平均 5.03 小时）限制了结论的范围，但本研究强调了日常生活表现的客观测量对于规划康复治疗的有用性。需要进一步的研究来调查有关日常生活表现的信息是否会导致康复治疗结果的改善。这项研究强调了日常生活表现的客观测量对康复治疗计划的有用性。需要进一步的研究来调查有关日常生活表现的信息是否会导致康复治疗结果的改善。这项研究强调了日常生活表现的客观测量对康复治疗计划的有用性。需要进一步的研究来调查有关日常生活表现的信息是否会导致康复治疗结果的改善。